OSGOOD SCHLATTER

[THEARGENTINE]

Hi everybody.
I have a patient, 12 years old, with osgood schlatter disease.
What physical agents you use ( if you use )?
About stretching, we must stretch the hamstring, quadriceps and that other muscle. As for the strengthening, do you strengthen any muscle in special?

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[mageshanand]

hey try taping to stabilize the joint, you might the patella mal aligned, you may as well try to tape that thing as well, and do lots of multi angle isometrics, to the muscle groups

[physiok]

you can stretch sural triceps and iliopsoas too, they are in the same muscular chain.
Look at knee extension: is it extending completely? If not search why (is knee inflated) and treat, if yes and too much you can work on flexion muscles with isometric reinforcement.
Watch foot position while standing, if it's turning inside or outside it gives rotational problems on tibia and wrong strenght vectors on quadriceps. A podiatrist can be of good help.
A hip rotation has the same effects then stretch rotator muscles if necessary.
Check knee ligaments.
On inflammation and pain you can use ice, iontophoresis and tens. Forget ultrasouds.
Good luck and sorry for my english

[PRADNYA]

Hi,
this condition particularly occurs in teenage boys and is because of overuse of Quards in atheletes. hence rest and ice in the initial stage will be helpful. then you can start with isometric exercises for quards and progress to isokinetic exercises as the pain decreases.
you can advice the patient to avoid extreme knee flexion and sports.
if this also doesnt help then you can prescribe a knee brace.
the condition takes 3-4 months to improve.

[Physiobase]

Osgood Schlatter's disease is a very common presentation in children, often during a growth spurt, where an imbalance exists between bone and muscle strength.

I do not feel it would be appropriate to use any electro physical agents at all, especially as you would be applying it over a growth area of young bone.

Therapeutic assistance to relieve pain and the load on the insertion would be appropriate. This could include taping to reduce the load on the tendon and perhaps some general lower extremity strengthening.

Mechanics are probably less of a factor. Kids are kids and some get this "disease" albeit for little more than 12 months. Check their shoes and diet, modify their training intensity and duration for the next 12 months and let their body rectify itself naturally. Using things to reduce the pain will simply result in nice bilateral calcifications in the tendons for the rest of their life. They must understand the process and modify their daily behavious accordingly.

[HygeiaUK]

I see many youngsters with Osgood Sclatter's. Firstly I always tell parents to start checking on a weekly basis their child's height. Having had two kids I can vouch that a child can grow 10 cm in 6 weeks which is pretty impressive!
I work on the basis that this is inflammation around a growth palte, and use Interferential around the joint to help settle the infalmmatory response. I work with the UK diving development squads, and there is a problem with disruption of growth plates associated with the wrist flicking action of deflecting strain, on entering the water. Good education and a few sessions of therapy should settle this problem if not they need MRI scan.

[debanjan]

Hello all,
I had osgood sclatter / osteochondrosis several times , I think that cycling is a better solution for osgood sclatter & u guys should do cycling regularly to prevent this disease.